| Date of birth: | 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 203730 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9511240 |
| Booking date: | May 22, 1995 |
| Release date: | May 25, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951004721 |
| Amount: | $500 |